BRIDGEWATER HOME, INC. (NPI# 1356346274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356346274 |
| Entity Type | Organization |
| Organization Name | BRIDGEWATER HOME, INC. |
| Practice Address |
302 N 2nd St Bridgewater VA 22812-1712 |
| Practice Telephone | 5408282550 |
| Practice Fax Number | 5408282668 |
| Mailing Telephone | 5408282550 |
| Mailing Fax Number | 5408282668 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL HOYT (PRESIDENT) |
| Authorized Official Telephone | 5408282550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH2520 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 49-E008 | 05 |
| Street Address |
302 N 2ND ST |
| City | BRIDGEWATER |
| State | VA |
| Zip Code | 22812-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164900692 | Kaitlyn Remnant | Physical Therapist | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2018-08-06 |
| 1982111993 | Mary Grace Davy | Occupational Therapy Assistant | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2017-12-29 |
| 1427574037 | Antoinette Marie Rossi-miller | Physical Therapy Assistant | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2017-08-15 |
| 1720503683 | Dorothy Marie Dooley | Physical Therapist | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2017-08-11 |
| 1619361615 | Christopher Rathbun | Occupational Therapist | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2015-03-27 |
| 1629481478 | Mary Dutcher Lambert | Physical Therapy Assistant | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2014-06-10 |
| 1154764710 | Charles Lee Baker | Physical Therapist | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2013-04-14 |
| 1417201518 | Denise E Brill | Occupational Therapist | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2012-10-29 |
| 1215280599 | Clark Upton | Occupational Therapy Assistant | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2012-10-23 |
| 1740480466 | Ashley Marner Poe | Physical Therapy Assistant | 302 N 2nd St, Bridgewater, VA 22812-1712 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637242 | Hastings Healthcare, LLC | General Practice | Hastings Medical Clinic of Bridgewater, 110 North Main Street Suite A, Bridgewater, VA 22812 | 2020-10-21 |
| 1316469687 | Jasmine Taylor Pinder | Specialist/Technologist | 402 East College Street, Bridgewater, VA 22812 | 2017-07-08 |
| 1548643547 | Gail E. Reese | Behavioral Analyst | 5630 Glade View Drive, Bridgewater, VA 22812 | 2015-07-08 |
| 1992915557 | Richard M. Smith | Dentist | 100 Parkside Drive, Bridgewater, VA 22812 | 2007-05-23 |
| 1003914144 | Donald Richard Bell | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-09-20 |
| 1871534933 | Jonathan David Moss | Family Medicine | 100 Health Center Dr, Bridgewater, VA 22812 | 2006-06-09 |
| 1104472869 | Ke'ara Denae Tucker | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812 | 2019-08-16 |
| 1265957864 | Shelby Paige Gregory | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812 | 2017-08-04 |
| 1104341841 | Maria Rector | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812 | 2017-08-03 |
| 1225112402 | Bridgewater Chiropractic Center | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-10-25 |
| Find all providers in zip 22812 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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|---|---|---|---|---|
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| 1245346568 | Hhci Limited Partnership | Skilled Nursing Facility | 875 Route 202 206 North, Bridgewater, NJ 08807-9990 | 2006-08-21 |
| 1255321220 | New Jersey Eastern Star Home for The Aged, Inc. | Skilled Nursing Facility | 111 Finderne Ave, Bridgewater, NJ 08807-3100 | 2005-10-21 |
| 1063400794 | Bridgeway, Inc. | Skilled Nursing Facility | 270 Route 28, Bridgewater, NJ 08807 | 2005-10-06 |
| 1689222481 | Bridgewater Nursing Home Corporation | Skilled Nursing Facility | 901 N Main Ave, Bridgewater, SD 57319-2004 | 2019-08-27 |
| 1669944997 | Green Knoll Care Limited Liability Company | Skilled Nursing Facility | 875 Route 202/206, Bridgewater, NJ 08807-1861 | 2018-12-27 |
| 1730240169 | 16 Pleasant St., Inc. | Skilled Nursing Facility | 16 Pleasant St, Bridgewater, MA 02324-2420 | 2006-12-12 |
| 1205917903 | Friends Retirement Concept's Inc. | Skilled Nursing Facility | 100 Monroe St, Bridgewater, NJ 08807-5002 | 2006-10-18 |
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| 1265924260 | Nassawadox Life Care, LLC | Skilled Nursing Facility | 9468 Hospital Road, Nassawadox, VA 23413-0176 | 2018-06-05 |
| 1518459593 | Big Stone Gap Life Care, LLC | Skilled Nursing Facility | 2045 Valley View Dr, Big Stone Gap, VA 24219-3319 | 2018-06-05 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1033660360 | Nathan Ian Dalleave | Skilled Nursing Facility | 1243 Lanier Rd, Martinsville, VA 24112-5211 | 2016-10-21 |
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| City | BRIDGEWATER |
| Zip Code | 22812 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.